1. Emergency Health Care Services;

2. Inpatient Hospital and medical-surgical care;

3. Outpatient services;

4. Preventive Health Services and health education services.

1. A copy of the agreement, contract, or policy which the HMO proposes to issue to Enrollees which describes the scope of Health Care Services it renders, as permitted by law, to Enrollees either directly by a Provider staff or through arrangement with other;

2. The names of all Providers (giving their license number), business address, specialty where applicable (board certification or eligibility), and medical or Hospital staff privileges at Hospitals used, or by which the HMO has a contractual arrangement, and the maintenance of a listing of this information;

3. The appointment of a full-time Administrator;

4. The appointment of a Medical Director. The position may be either full-time or part-time in accordance with the demands of the office. The Medical Director may serve as the chief of the medical staff of a Staff Model HMO. A Staff Model HMO shall formulate medical staff bylaws, rules, regulations, or other appropriate means to include provisions for the delivery of Health Care Services by physicians and Providers, licensed or duly authorized to practice in the State of Arkansas. Other Providers, as required, to support the medical staff shall be available in order to assure that the Enrollee receives Health Care Services with continuity and without unreasonable periods of delay;

5. An ongoing quality assurance/improvement program;

6. Assurance that files are maintained to include current contracts for all participating physicians and Providers;

1. Adoption and enforcement of all policies governing the HMO's management of Health Care Services delivery, quality assurance/improvement, and utilization review programs including at least annual meetings for the purpose of evaluation and improvement of the Health Care Services of the HMO and to react to recommendations and/or findings of the quality assurance/improvement committee. Records, as well as minutes of meetings shall be maintained;

2. Authority to employ and terminate the Administrator and Medical Director;

3. Adoption of the HMO's procedures for maintenance and control of all books, records, and audits which are related to its operation;

4. Assurance that the HMO's Administrator is performing the duties of that position;

5. Assurance that the HMO's Medical Director is performing the duties of that position and in a manner that results in operation of a quality assurance/improvement program that is effective and otherwise in compliance with the requirements of these Rules and Regulations;

6. Adoption of policies and procedures regarding the delivery of Health Care Services to Enrollees;

7. Provision of reasonable access by the Medical Director; and

8. Assurance that the HMO complies with applicable laws and regulations.